No good deed goes unpunished

It started out as a rather routine affair. The taxi was called by someone who was having medical problems and she asked to be brought to the hospital. It turned out that this patient was not the best at following instructions as the reason she needed to be brought in was in part due to not taking other medications.

Things took a turn for the worse, as by the time she arrived at the hospital she was in such bad shape that she couldn’t even be moved from the cab due to breathing problems. The emergency room reacted like the trained professionals that they were and rushed out with five personnel, one of which was a male nurse.

Just like a medical show taking place on the sidewalk they literally saved her life and then they prepared her to move her from the street to the hospital. Yet there was one small little thing, the taxi cab driver wanted money for driving her to the hospital. The poor guy has to eat as well. So the male nurse took the patients wallet out of her purse and in front of her, the cab driver and four other medical professionals he paid the cab driver and put away the wallet.

Time may heal all wounds but medication and high tech equipment also plays a part, well in this story anyway. It was about 24 hours later when the patient who was no longer in death throes turned into a witch. This patient wanted to go home as she thought she was fine. In Germany a doctor in the hospital can refuse to release you if he or she thinks you will be a threat to either yourself or to others. The doctor on duty felt, that she may not be a threat to others but there was a good chance that she might not survive, so in order to get her held against her will he called the police.

The police showed up and before the doctor could get a word in edgewise, the patient spoke to the police and filed a complaint against the male nurse who “stole” from her. The list of things that were missing was the cab fare, 10 additional euros and a second mobile phone. If the condition of her first phone was any indicator then the second one may not even work. To the knowledge of all the people who attended this emergency there was no second phone when she was admitted to the hospital.

She felt that the male orderly was criminal in this case and thus filed the official complaint. The only thing that indeed is true is that neither the orderly nor anyone else should have taken the wallet out and paid the cab driver. The fact it was done in front of the patient doesn’t change that fact. I think it is at least a small bit suspect as who knows down to the cent how much money is sitting in their wallet. The most obvious suspect is the “terrible terrible” person who helped to save her life.

What does the profile of a terrible terrible medical nurse look like? This orderly was an elderly gentlemen of about sixty five, so it is possible that no matter how cool this second phone was he probably did not have either the interest or perhaps the knowledge of how to utilize such a device. Another fact that makes him look suspicious is that prior to becoming an orderly he was a priest – yup a man who dedicated his life to god. This doesn’t sound like your typical felon. Someone who when their calling came to an end, decided to continue in another profession that also helped people in need.

When I heard about this I half jokingly made the comment that well, if she does pass away then I guess this problem will go with her. Yet, I was mistaken on this count. Now that the crime has been reported to the proper authorities it will be prosecuted either with or without the victim.

Medical equipment

Back in the day I used to do a lot of travel by plane but not always every week. During one of my off weeks, my partner was going to a medical training. She was going to be away for the weekend and thus didn’t need a very large suitcase, so I lent her mine.

I cannot say much about the training other than I wasn’t invited and she didn’t really have any fun stories to tell when she got home. So, I re-packed the suitcase as there was a plane that I needed to catch at 7:00 Monday morning. It was morning so I was tired and so mechanically went through the steps while trying to get to my plane, well until they wanted to xray check my luggage.

Being tired, it wasn’t important to me what they did to the suitcase, but after a few minutes it became obvious that there was some problem. This point was accentuated when they asked me to remove the knife from my suitcase. I was planning to give some sort of sharp retort except it was really early and my German wasn’t good enough. I wasn’t certain that my comment would be small enough to show my displeasure but not too large to get the rubber hose treatment in a backroom.

Besides, I have taken this suitcase a hundred times on the plane if I had a knife it would have been taken away long ago. Well, lo and behold they did find a long metal instrument that actually more resembled a pair of scissors than a knife. It was actually a clamp, which looks like a pair of scissors that when you close it locks in place.

It was obviously not mine, but I suspected it came from my girlfriend and because it came from the hospital it probably had high value. So I took the advice from the xray people at the Frankfurt airport and went down to the basement where they could hold this for a small nominal fee. I could then pick it up when I get back from my trip.

So it was a few days later that I picked up my package and went home, of course quite proud of saving this valuable surgical instrument. My attitude changed when she told me that this was not a valuable piece of medical equipment. That old thing was probably in her coat at work and it would not have been a crisis had it been confiscated at the airport.

Well, now I am terribly fond of said device so it ended up in my father’s tackle box were we can use it when we go fishing.

I was actually thinking about playing hooky anyway

My sister was visiting me on her way back from a trip to a far off land. It was really nice that she was able to extend her stopover a few days and visit with my wife and I. Well, it was nice but it was also a time of high tension as my wife was actually pregnant and would be giving birth to our child. I was supposed to go to work on Monday but considering the situation I thought I would just call in “sick” the next day perhaps even two. I would then be able to visit with my sister for one more day before she went home.

Well, as luck had it, at about 3:30 in the morning I had an even better excuse as “the time had come”. Well, not that second but by five am we were driving to the hospital, not sure of the protocol I asked my sister if she wanted to come to the hospital. She did and we checked in. They did a preliminary exam of my wife and then told us to walk around until things were a bit more advanced. So we wandered the halls like some sort of ghosts at 5:30 in the morning but then indeed it was our time as my wife’s water broke. We waddled up to the birthing station, which actually was mainly intended for (go figure) the women, midwife’s and the doctors.

There was no real place for my sister to sit despite what you see in the movies. However there was a very small table right outside the six birthing rooms and so she sat down to wait. I am not going to go into the details of the birth, but apparently even when some sort of local anesthesia is administered it can be a fairly loud process. Of course I was oblivious to all this as I was in a room that was fairly isolated from the other rooms, but my sister was not.

She was also quite the trooper that day, as she was sitting outside of six rooms with no place else she can go and is forced to listen to all these ladies in labor. I can only imagine that this may also be creating a sense of foreboding as she also wanted to have children when the time came.

Guardian angel working overtime

But I am not drunk …. When you hear this line it is typically from someone who has indeed had too much to drink. But perhaps I am getting ahead of my myself.

Our doctor received a 15 year old female who was found in a ditch. This may or may not sound so surprising but you must remember that in Germany roads don’t normally have ditches. Well, that is a bit too bold of a statement. Ditches do occur but you might find them next to an autobahn or perhaps far out in the country.

I work in a small Frankfurt hospital. The reason that our patient was delivered my hospital was because the hospital closest to where the patient was discovered did not accept children.

I could see that the patient did have something in her system so asked how much she had to drink. She was told that she didn’t have anything to drink, and truth be told there was no smell of alcohol on her breath. It is a hard world full of bad people, did someone slip her something or take advantage of her? Well, you might as well tell me about you evening as the blood test will tell all.

Obviously the young girl was reasonably full of herself when she responded.

Ver fick dich du alte kuh

(approx Fuck off old bitch)

Well, she was a bit more talkative after that. She claims that she goes out every night and parties and that of course her parents know all about it.

Wow, but how did she end up in the ditch, and how did she end up here? Well, the patient was out with her girlfriend and they were having such a good time that they had to walk their bikes back home. What an evening it was. Her blood alcohol level was 1.6 pro mil, she literally was too drunk and too tired to keep going. She simply laid down in the ditch.

Her friend kept going, walking both bikes home. Luck was with them as friends of her parents saw her walking home and offered her a lift. It was a cold night and her parents were out of town, which truth be told might have helped her to get out to party. When she was dropped off at home, she did mention to the adults that her friend was laying in the ditch out there.

So the adults went out and found the girl and called the ambulance. When the ambulance got there she was cold and wet, she had lost a couple of degrees Celsius and so they had her remove her wet things and wrap up on a thermoblanket.

The temperature was near freezing. Considering the long term memory of a drunk there must have been guardian angel on overtime. Our patient’s drinking partner’s folks were not home. At this temperature you could easily die from hypothermia in two to three hours, she never would have lasted until morning.

Well, about 30 minutes later the girls parents show up and claim that such an outburst does sound out of character but did not deny that it occurred.

In the beginning

There was a very humble emergency ward. Long long ago it was setup and was now running like a top. This is where the internal medicine staff were located. This is where the internal medicine problems would come in to be checked out by internal medicine and if there was a genuine problem they would be put into a bed and treated.

The problem was, at least to the administration types, not really enough people coming to the emergency ward. Four or five a day is simply too small of a number. Thus came the decision to combine the internal medicine from the emergency ward with the (surgical) emergency room, thus having a single emergency room to accept all of the patients.

It was only after both the internal medicine surgical ER were combined that a new trend was discovered. It seems that the number of patients have started to climb. Well, this was a bit of a surprise as the surgical ER had scheduled its own patients to fit with its own schedule. It was later discovered that the reason that the number of patients were increasing was because in the surgical ER the first point of contact was a secretary. It was her decision on who to see, and if it didn’t appear to be a surgical topic, they were basically told to go see their own GP.

Uh, what happened to the emergency ward? The rocket scientists in administration have taken the internal medicine people out and have turned it into an intermediate care ward. This ward will have patients on monitors and long term patients. This is a skill set that is more in line with the intensive care unit and thus the experience ER personnel are jumping to other departments and hospitals. The actual future for the emergency ward is still not known even after many months.

Dealing with Heart attacks 101

I was sitting on the bed and my partner was typing furiously on her laptop. I was sitting right there, so it probably wasn’t an email to me so I poked my big nose into things.

It seems that she was working on a presentation about heart attacks. She is a doctor, patients can have heart attacks but somehow compared to some of the other topics she has demonstrated to her colleagues this seemed, well, just a little bit basic.

I took a look at the first dozen slides and actually I pretty much knew much of this information and I don’t even work in the medical field. I just was not satisfied knowing what she was up to I needed to know why such a basic topic was being delivered to the other doctors. Well, it turns out that the speech isn’t given to the doctors but actually to the nurses. I am confused why the doctors are teaching the nurses but to make it more confusing these nurses are in charge of the emergency room.

I found out that the nurses came over from the surgical emergency room and actually have no experience in the general sort of emergencies. It appears that they have just recently had a bit of a shake up in all things related to the emergency room. (see next story)

Coming out of the closet

I guess I have heard and even seen a few situations where things have gotten out of control and usually alcohol was involved. This is not a good excuse but I guess I do understand it. It is sort of a lapse in judgment that may last anywhere from a few minutes until the end of the evening.

Did you hear about the doctor who got caught in the closet with one of the cleaning staff? Well, there are not a lot of details about this one (yet) but apparently he was giving her a “physical” during the day in a storage closet when he was caught. It might be nice to suggest that this was some young intern who was somehow was caught up with life in the big city and lost her head.

The sad truth was that it was a normal internal medicine doctor which should have given him at least a decade of real world experience. It is rumored that his “soupirante” also should have had a decade or more of real world experience. I guess it was a relatively sad parting, as he kept his job while she had to move on.

… and a smile

The patient had a major abdominal surgery. One of the side effects, as the patient, is that you need time to recover and so you don’t get to eat. Well, you do get “astronaut” food but that isn’t so satisfying.

It was four days later and during a discussion with the surgeon that the patient was informed that she would now be able to have ½ liter of water. Not carbonated or anything crazy like that, just regular flat water. This is really not a fun diet no matter what the circumstances and so the patient asked if it was possible to replace the water with a coke.

Nope, that particular request was not approved by the surgeon, I guess he is an “old school” doctor.

Where babies come from …

People are the same everywhere, you might find a genius in a small town (Albert Einstein, Ulm Germany), or you might find one or more idiots in a big city such as my neighbor. It turns out that in Slovakia there is a tiny village where the cumulative village IQ is being dragged down because some of the inhabitants cannot figure out how to move away.

The story is actually quite common, boy meets girl, boy loves girl, and finally boy leaves girl. Unfortunately the fairly tale changes tone when the boy receives a visit as part of an investigation to determine the paternity of the child.

It seems that the young couple must have been quite friendly as reason for this visit was due to the celebration of an August birth. When confronted by what seemed to be incontrovertible evidence the boy suggested that it really could not be his baby. After all, he had not been with the girl in question since new years eve, and that was really some time back.

Well, It did take come explaining but after learning not only how babies are made but how long of a process it is before the actual birth. Once all of this was clear he did admit that perhaps he could indeed be the father.

Apparently, the entire process is not started with a letter written to a stork after all.

Tales of the suit thief

The patient was in for a routine check. It was just for a routine liver biopsy, nothing serious. He checked into the hospital but didn’t get the best roommate. The roommate was an alcoholic with a history of psychiatric problems. When nobody was around it seems that our alcoholic patient decided to take the banker’s clothes and go for a walk. The banker had very good taste in clothing as was obvious from his “handsome” silver metallic suit.

This was only realized near the end of the shift. Pretty much as you might expect when somebody takes someone else’s property you have to get the police involved. Our Dr. heroine bore witness to the entire situation. It began with with people being hurriedly interviewed and all of the facts being written down in a notebook.

It is less clear what happened to the keys, wallet and other personal effects but in general things turned as it could have been expected. The alcoholic with a new suit and a pocket full of money felt like going out and celebrating. He was found a few hours later sleeping it off on a park bench. Standard procedure for the German police when they find a passed out person is to bring him to a hospital for medical attention.

Imagine the surprise, not even 12 hours later, when our heroine walked into a room to check on a new patient. The previous alcoholic was now laying in a new room in the same hospital being checkout by the same medical staff. There was one additional fact that that was also quite obvious. The drunk was a very well dressed unconscious patient – well that and apparently a very stinky one. It was actually difficult to be in the same room due to the smell of urine, fecal material as well as other odd fragrances.

There must have been a conversation about how the suit was once again found but that was not reported. All we do know is that the banker let his former roommate keep the suit.

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